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Patient Educ Couns. 2019 Jun 8. pii: S0738-3991(19)30237-X. doi: 10.1016/j.pec.2019.06.002. [Epub ahead of print]

Motivational interviewing with families in the home environment.

Author information

1
Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Canada. Electronic address: carley.okanerd@gmail.com.
2
Faculty of Health Sciences, Western University, London, Canada.
3
Department of Family Relations and Applied Nutrition, University of Guelph, Guelph, Canada.
4
Department of Human Health and Nutritional Sciences, University of Guelph, Guelph, Canada.

Abstract

OBJECTIVE:

This study explored the feasibility and acceptability of using Motivational Interviewing (MI) in the home setting with families of preschoolers.

METHODS:

Using mixed-methods pilot data from an MI-based obesity prevention intervention delivered via home visits by health educators (HEs) with 44 families (n = 17 four home visit group; n = 14 two home visit group), we examined: 1) fidelity of MI adherence by HEs; 2) parents' perceptions of the intervention; and 3) HEs insights pertaining to the intervention's delivery.

RESULTS:

Multiple measures of MI fidelity were deemed to exceed defined proficiency levels. Ninety-three percent of families reported being "satisfied" to "very satisfied" with the intervention. HEs reported building a high level of trust with families and gaining a thorough understanding of familial context. Parents appreciated how HEs' were knowledgeable and provided personalized attention when discussing health goals. Some parents suggested more directive advice and follow-up visits as ways to improve the intervention.

CONCLUSION:

Home-based MI was conducted with a high level of fidelity, was well accepted by families and practitioners.

PRACTICE IMPLICATIONS:

Our findings from parents and MI practitioners provide key learnings that can inform future behavior change interventions that propose to use MI within the home setting.

KEYWORDS:

Childhood obesity; Counseling; Family health; Home visits; Motivational interviewing

PMID:
31285065
DOI:
10.1016/j.pec.2019.06.002

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